A pt with a massive PE has hypotension and shock, and is receiving IV crystalloids. However, the pts cardiac output isn't improving. The nurse anticipates an order for which drug?
a. Hydromorphone (dilaudid)
b. alteplase (activase, tPA)
c. Diltiazem (cardizem)
d. Dobutamine (dobutrex)
Answer: d. Dobutamine (dobutrex)
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The nurse is caring for a critically ill child. The child has been experiencing tachypnea for several hours despite appropriate interventions. Suddenly, the child becomes bradypneic. What is the most appropriate nursing action?
A) Continue the current plan of care, as this change indicates improvement. B) Initiate positive-pressure ventilation with a manual bag-mask device. C) Increase intravenous sedation and narcotic dosages to continue improvement. D) Ask the family to leave the room in anticipation of further action.
A regular interval interrupted by an early beat, late beat, or missed beat indicates an abnormal rhythm or:
a. dysrhythmia. b. tachycardia. c. bradycardia. d. a pulse deficit.
The nurse is discussing care of the client with rhinitis. Which of the following statements indicates the caregiver understands the content of the teaching session?
1. "It may not always be necessary to take allergy medications to avoid these symptoms.". 2. "Since there are so many different triggers, it will be necessary to take allergy injections forever.". 3. "The only way to avoid these symptoms is to completely avoid the trigger.". 4. "Since this has only occurred once, I can be sure it is not allergic in nature.".
A nurse is preparing to interview a client who has a delusional disorder. Which of the following would the nurse expect?
A) Cognitive impairment B) Normal behavior C) Labile affect D) Evidence of motor symptoms